Charles Fuller, LPC

NPI 1487986972 · on the registry since 2010 · sole proprietor

Practice

Address: 189 Professional Ct Se
Suite 105
Calhoun, GA 30701
Phone: (706) 979-4037
Organisation at this address: Abella Palliative Care Inc
Countryside Hospice Care, Inc
Functional Restoration Chiropractic
Tapestry Hospice Of Northwest Georgia Llc
Northwest Georgia Healthcare Management Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-05-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia